This document provides an overview of health indicators in Brunei Darussalam. It shows that the country's crude birth rate has declined from 56.8 per 1000 population in 1938 to 16.1 in 2008, while the crude death rate has declined from 22 per 1000 in 1938 to 2.7 in 2008. Brunei has achieved targets for reducing child mortality set by the Millennium Development Goals, with under-5 and infant mortality rates now comparable to developed countries. Improvements are due to higher living standards, education, women's empowerment, and better infant care services. The document presents charts on vital statistics and trends in birth and death rates from 1938 to 2008.
Sian Griffiths presentation part 2 WSPCR 2010angewatkins
The document outlines China's plan for establishing a universal basic healthcare system called "Phase 3: Healthy China". The overall objective is to provide safe, effective, affordable healthcare for both rural and urban residents. The new health system reform plan includes public health services, medical services, health insurance, and drug production/supply systems. It also describes primary care services in China which are provided through community health centers and integrated with public health. The community health services package includes health maintenance, treatment/referral, health education, and family planning.
This presentation shows the real purpose of the 1Care Technical Working Groups (TWGs).
It is not to consult the stakeholders about what concept to adopt as the government insists. In actual fact, it is to "Translating Government Policy Directions into Value added Research for 1Care".
This presentation also confirms that the TWGs only exist to provide "Evidence to support the 1Care blueprint development".
In other words, the policy has been decided and the government is now using the TWGs to rubber stamp their support for 1Care.
1. The document discusses Malaysia's 1Care program, which aims to achieve universal healthcare coverage through an integrated public-private primary health care system.
2. Key benefits of 1Care include ensuring affordable and sustainable healthcare, equitable access to higher quality services, developing safety nets for vulnerable groups, and making the health system more responsive to population needs.
3. 1Care will integrate public sector physicians and private general practitioners (GPs) into a unified primary health care system to provide comprehensive services from "womb to tomb" through capitation-based financing.
The document discusses capacity building in the public health sector of Chhattisgarh, India. It notes that capacity building refers to creating, expanding, or upgrading desired capabilities that can be drawn on over time, rather than just managing existing resources. It provides statistics on Chhattisgarh's population and health infrastructure, noting a large rural population and shortage of facilities. It also outlines issues with training capacity, quality, and rationalizing trained human resources. It discusses the state's policy decisions around strengthening training institutions and prioritizing certain programs to build capacity in the public health workforce.
Saint Peter's Healthcare System has opened a new Wound Care Center and expanded primary care services in Monroe Township to meet the growing healthcare needs of the community. The new facilities include a state-of-the-art wound care center with hyperbaric oxygen therapy and a larger Comprehensive Care Group primary care practice. These services will treat hard-to-heal wounds and provide expanded access to primary care including various medical specialties. An open house will be held on October 24th for the community to tour the new facilities and learn about the services.
The Disruptive Truth: New Shopping Behaviors and AttitudesResearch Now
Mobile shopping behaviors have become more complex as shoppers use mobile devices throughout their purchasing process. Research Now Mobile advocates using both mobile behavioral data and surveys to better understand the new path to purchase. They offer a range of data streams including social listening data, mobile data, and online data that can feed into analytical models and provide insights. Research Now Mobile also demonstrated that mobile surveys can provide results comparable to online studies in terms of validity and reliability. Their holistic approach aims to provide empirical insights into issues along the path to purchase that can help measure the impact of mobile apps and media placements.
This study tested a text message intervention to encourage people to drink more water. Participants received daily text reminders to drink a glass of water after brushing their teeth. Most participants reported drinking more water after one week. While the intervention was successful for many, some had difficulty drinking water directly after brushing teeth due to stomach issues. Overall, the study found the text message prompts increased water intake, but future interventions may need to consider timing and individual preferences.
May Webinar: Big Picture Healthcare Research Research Now
The document discusses creative sampling methods for reaching patients, physicians, and healthcare providers. It outlines challenges in sampling these audiences due to their finite size and unique recruitment needs. Methods proposed to access hard-to-reach groups include multimode recruitment, considering job function over title, live intercepts, partnerships with associations and non-profits, third-party household data, till recruiting at pharmacies, and mobile technologies. The goal is to provide customized solutions and find innovative ways to sample niche audiences.
Sian Griffiths presentation part 2 WSPCR 2010angewatkins
The document outlines China's plan for establishing a universal basic healthcare system called "Phase 3: Healthy China". The overall objective is to provide safe, effective, affordable healthcare for both rural and urban residents. The new health system reform plan includes public health services, medical services, health insurance, and drug production/supply systems. It also describes primary care services in China which are provided through community health centers and integrated with public health. The community health services package includes health maintenance, treatment/referral, health education, and family planning.
This presentation shows the real purpose of the 1Care Technical Working Groups (TWGs).
It is not to consult the stakeholders about what concept to adopt as the government insists. In actual fact, it is to "Translating Government Policy Directions into Value added Research for 1Care".
This presentation also confirms that the TWGs only exist to provide "Evidence to support the 1Care blueprint development".
In other words, the policy has been decided and the government is now using the TWGs to rubber stamp their support for 1Care.
1. The document discusses Malaysia's 1Care program, which aims to achieve universal healthcare coverage through an integrated public-private primary health care system.
2. Key benefits of 1Care include ensuring affordable and sustainable healthcare, equitable access to higher quality services, developing safety nets for vulnerable groups, and making the health system more responsive to population needs.
3. 1Care will integrate public sector physicians and private general practitioners (GPs) into a unified primary health care system to provide comprehensive services from "womb to tomb" through capitation-based financing.
The document discusses capacity building in the public health sector of Chhattisgarh, India. It notes that capacity building refers to creating, expanding, or upgrading desired capabilities that can be drawn on over time, rather than just managing existing resources. It provides statistics on Chhattisgarh's population and health infrastructure, noting a large rural population and shortage of facilities. It also outlines issues with training capacity, quality, and rationalizing trained human resources. It discusses the state's policy decisions around strengthening training institutions and prioritizing certain programs to build capacity in the public health workforce.
Saint Peter's Healthcare System has opened a new Wound Care Center and expanded primary care services in Monroe Township to meet the growing healthcare needs of the community. The new facilities include a state-of-the-art wound care center with hyperbaric oxygen therapy and a larger Comprehensive Care Group primary care practice. These services will treat hard-to-heal wounds and provide expanded access to primary care including various medical specialties. An open house will be held on October 24th for the community to tour the new facilities and learn about the services.
The Disruptive Truth: New Shopping Behaviors and AttitudesResearch Now
Mobile shopping behaviors have become more complex as shoppers use mobile devices throughout their purchasing process. Research Now Mobile advocates using both mobile behavioral data and surveys to better understand the new path to purchase. They offer a range of data streams including social listening data, mobile data, and online data that can feed into analytical models and provide insights. Research Now Mobile also demonstrated that mobile surveys can provide results comparable to online studies in terms of validity and reliability. Their holistic approach aims to provide empirical insights into issues along the path to purchase that can help measure the impact of mobile apps and media placements.
This study tested a text message intervention to encourage people to drink more water. Participants received daily text reminders to drink a glass of water after brushing their teeth. Most participants reported drinking more water after one week. While the intervention was successful for many, some had difficulty drinking water directly after brushing teeth due to stomach issues. Overall, the study found the text message prompts increased water intake, but future interventions may need to consider timing and individual preferences.
May Webinar: Big Picture Healthcare Research Research Now
The document discusses creative sampling methods for reaching patients, physicians, and healthcare providers. It outlines challenges in sampling these audiences due to their finite size and unique recruitment needs. Methods proposed to access hard-to-reach groups include multimode recruitment, considering job function over title, live intercepts, partnerships with associations and non-profits, third-party household data, till recruiting at pharmacies, and mobile technologies. The goal is to provide customized solutions and find innovative ways to sample niche audiences.
In the United States, the amount of data created, replicated, and consumed each year will double every three years through the end of the decade, according to the EMC-IDC Digital Universe 2020 study.
This document provides information for students taking online mathematics courses through ALEKS and Moodle. It outlines the instructors, websites used, course requirements, grading policies, proctored test details, and completion deadlines. Students must complete assignments on Moodle and work in ALEKS to master topics in order to pass the course, ALEKS final exam, and district final exam.
She has been an unofficial ambassador of Satya Paul saris, and now Mandira Bedi has chosen the brand yet again for her return to the small screen as the host of reality show ‘Jo Jeeta Wohi Superstar 2’.
Here are the answers to the short quiz:
1. Examples of FC for this firm: Rent for factory space, machinery/equipment, salaries for managers
2. Examples of VC for this firm: Materials/supplies, labor costs for production workers, electricity
3. This firm could increase its TR by increasing the quantity of widgets produced and sold (assuming demand remains constant)
4. An example of diminishing marginal returns for this firm would be if each additional widget took longer to produce due to congestion in the factory or workers getting tired, so the marginal cost of production would increase with higher quantities.
This document discusses safe virtualization of Active Directory domain controllers in Windows Server 2012. It describes how snapshots and cloning of virtual domain controllers was previously problematic but Windows Server 2012 introduces the VM-Generation ID to detect these actions and prevent issues like USN rollback. The document outlines the nine step process for cloning a virtual domain controller safely in Windows Server 2012 with features like DCCloneConfig.xml. It enables rapid deployment of domain controllers by leveraging virtualization platform capabilities while ensuring an AD environment remains consistent.
Cheerleading is a sport that involves activities like dancing, cheers, jumps and tumbling. The goal is to inspire fans to cheer for sports teams. One objective is to teach young people that cheerleading requires physical strength and dexterity. Promoting cheerleading allows developing skills like coordination, teamwork and physical dexterity. Constructivism and cognitivism pedagogical models will be used. Evaluation will consider if cheerleading is already known to young people in the country. There are different types of cheerleading like school, college, youth and professional levels.
September 2011 Webinar: Beyond Fan PagesResearch Now
This document is a presentation about using social media for consumer insights. It discusses how social media monitoring began with engagement but is now used more for insights and planning. Around 18% of researchers are currently using social media for insights generation. The presentation recommends companies collect relevant social media data, exclude wrong data, have someone review the data in context, properly weight the data, and consider privacy issues when using social media for research. It concludes by introducing the company Conversition, which focuses on providing trustworthy social media research data and insights for agencies and companies.
This document provides information about the end of World War 1 and the Treaty of Versailles through a series of passages and images:
1) US troops provided fresh reinforcements for the Allied forces in 1918, helping them break through German lines during the decisive "Hundred Days Offensive." An armistice ended the war on November 11, 1918.
2) World leaders from the US, France, Britain, and Italy met secretly at the Palace of Versailles in 1919 to negotiate a peace treaty. The Treaty of Versailles placed blame on Germany, took territory, and imposed heavy reparations. It also created the League of Nations.
3) The treaty negatively impacted Germany by stripping it of land and imposing a large
GDDR Solution Design and Implementation Techniques EMC
This EMC Engineering TechBook draws on GDDR field expertise, highlighting best practices relating to both technology and project management disciplines required to achieve success during GDDR implementations.
The document discusses several topics related to private cloud security including key principles, challenges, reference models, and threats and countermeasures. It addresses concerns that tenants and architects might have regarding access control, monitoring usage, and reconciling perceptions of infinite resources. The document also examines security domains in a reference model, different security functionality, and private cloud security models involving virtualization stacks, hypervisors, and isolating partitions at different privilege rings.
The document discusses the symbolism and meaning behind various elements found in movie studio logos. It suggests that mountains represent stability in the film industry, clouds indicate the company is successful and above others, and a woman on top steps represents high quality and ranking in the industry. Various logos and acquisitions are also briefly mentioned.
This document provides an overview of monetary policy and the role of the Federal Reserve. It begins with sample questions about inflation, recessions, banks, and monetary policy. It then compares the Great Depression and Great Recession in terms of declines in GDP, unemployment, and world trade. The remainder discusses the Federal Reserve System and its tools of monetary policy. It asks questions about setting reserve rates, the Fed's role as lender of last resort, and why the Fed Chairman is influential. Finally, it prompts writing letters regarding monetary policy stances and recommended fiscal policy changes.
The document discusses the Malaysian healthcare system and its efforts to achieve better health for Malaysians. It outlines the current challenges facing the system, including issues like long wait times, inadequate integration between public and private sectors, and rising healthcare costs. It then describes the existing public healthcare structure provided by the Ministry of Health and examines usage and expenditure trends. The document proposes transforming the nation's health system to address the issues through a new integrated 1Care model.
Health Status Of Uttar Pradesh and field visitAnita Gupta
The document provides information on the organization and management of health services in Uttar Pradesh at the state, district, and sub-district levels. It summarizes that at the state level, the Principal Secretary oversees health policy and budgets, while various Directors provide technical assistance. At the district level, the CMO manages programs, and the SMO oversees individual health centers. The document also outlines the responsibilities and norms of community health centers, primary health centers, and sub-centers in the state.
The document discusses the role of registered dietitians in primary health care. It begins by explaining that primary health care focuses on wellness promotion rather than just illness treatment. It also notes that nutrition is important for health but access to nutrition services is limited. The document then describes key elements of primary health care, including using a population health approach, comprehensive services, coordination of care, interdisciplinary teams, and cost-effectiveness. It outlines the practice of registered dietitians in primary health care, including their skills in health promotion, education, and working with communities. Examples are provided of how dietitians contribute to quality of life, health outcomes, and cost containment through various strategies and actions.
The document summarizes a panel discussion on electronic health records (EHR) adoption. It introduces the moderator and four panelists who will discuss their experiences with EHR implementation. It then outlines the agenda which includes an EHR implementation panel, overview of the national healthcare landscape and legislation influencing health IT, and a question and answer session. Key pieces of national healthcare legislation discussed are the HITECH Act, Meaningful Use, Beacon Communities, and the Affordable Care Act.
Dr azilina 1 care for ph conference 12july2011 11july 2011EyesWideOpen2008
Slide 18 shows the implementation process of 1Care. In phases 1 to 3 the name 1Care doesn't even appear but it is part of the process.
The MOH Deputy Director General, Datuk Dr Noor Hisham Abdullah has confirmed that 1Care is currently in phase 1 & 2 of implementation.
This is the MOH's 10th Malaysia Plan Implementation plan for health. We can see that the entire 1Care concept in the table on page 48 & 49.
"Streamline/realign healthcare
delivery system (keywords: PHC as thrust, gatekeeping, zoning, referral system, preventive/promotive, resource sharing, resource mobilization, appropriate technologies,registered population, registered providers)"
"Integrated public private health services delivery"
"Unified healthcare financing system"
If 1Care has not been accepted and not even the concept has been decided on, WHY IS IT BEING IMPLEMENTED AS PART OF THE 10th MALAYSIA PLAN?
Health policy is a national task based on meeting community needs and respecting social, geographical and cultural variations. Ministry of health and population (MOHP) is the formal organization responsible for health policy formulation. The Egyptian health care system faces multiple challenges in improving and ensuring the health and wellbeing of the Egyptian people. The system faces not only the burden of combating illnesses associated with poverty and lack of education, but it must also respond to emerging diseases and illnesses associated with modern, urban lifestyle. Emerging access to global communications and commerce is raising the expectations of the population for more and better care and for advanced health care technology.
In the United States, the amount of data created, replicated, and consumed each year will double every three years through the end of the decade, according to the EMC-IDC Digital Universe 2020 study.
This document provides information for students taking online mathematics courses through ALEKS and Moodle. It outlines the instructors, websites used, course requirements, grading policies, proctored test details, and completion deadlines. Students must complete assignments on Moodle and work in ALEKS to master topics in order to pass the course, ALEKS final exam, and district final exam.
She has been an unofficial ambassador of Satya Paul saris, and now Mandira Bedi has chosen the brand yet again for her return to the small screen as the host of reality show ‘Jo Jeeta Wohi Superstar 2’.
Here are the answers to the short quiz:
1. Examples of FC for this firm: Rent for factory space, machinery/equipment, salaries for managers
2. Examples of VC for this firm: Materials/supplies, labor costs for production workers, electricity
3. This firm could increase its TR by increasing the quantity of widgets produced and sold (assuming demand remains constant)
4. An example of diminishing marginal returns for this firm would be if each additional widget took longer to produce due to congestion in the factory or workers getting tired, so the marginal cost of production would increase with higher quantities.
This document discusses safe virtualization of Active Directory domain controllers in Windows Server 2012. It describes how snapshots and cloning of virtual domain controllers was previously problematic but Windows Server 2012 introduces the VM-Generation ID to detect these actions and prevent issues like USN rollback. The document outlines the nine step process for cloning a virtual domain controller safely in Windows Server 2012 with features like DCCloneConfig.xml. It enables rapid deployment of domain controllers by leveraging virtualization platform capabilities while ensuring an AD environment remains consistent.
Cheerleading is a sport that involves activities like dancing, cheers, jumps and tumbling. The goal is to inspire fans to cheer for sports teams. One objective is to teach young people that cheerleading requires physical strength and dexterity. Promoting cheerleading allows developing skills like coordination, teamwork and physical dexterity. Constructivism and cognitivism pedagogical models will be used. Evaluation will consider if cheerleading is already known to young people in the country. There are different types of cheerleading like school, college, youth and professional levels.
September 2011 Webinar: Beyond Fan PagesResearch Now
This document is a presentation about using social media for consumer insights. It discusses how social media monitoring began with engagement but is now used more for insights and planning. Around 18% of researchers are currently using social media for insights generation. The presentation recommends companies collect relevant social media data, exclude wrong data, have someone review the data in context, properly weight the data, and consider privacy issues when using social media for research. It concludes by introducing the company Conversition, which focuses on providing trustworthy social media research data and insights for agencies and companies.
This document provides information about the end of World War 1 and the Treaty of Versailles through a series of passages and images:
1) US troops provided fresh reinforcements for the Allied forces in 1918, helping them break through German lines during the decisive "Hundred Days Offensive." An armistice ended the war on November 11, 1918.
2) World leaders from the US, France, Britain, and Italy met secretly at the Palace of Versailles in 1919 to negotiate a peace treaty. The Treaty of Versailles placed blame on Germany, took territory, and imposed heavy reparations. It also created the League of Nations.
3) The treaty negatively impacted Germany by stripping it of land and imposing a large
GDDR Solution Design and Implementation Techniques EMC
This EMC Engineering TechBook draws on GDDR field expertise, highlighting best practices relating to both technology and project management disciplines required to achieve success during GDDR implementations.
The document discusses several topics related to private cloud security including key principles, challenges, reference models, and threats and countermeasures. It addresses concerns that tenants and architects might have regarding access control, monitoring usage, and reconciling perceptions of infinite resources. The document also examines security domains in a reference model, different security functionality, and private cloud security models involving virtualization stacks, hypervisors, and isolating partitions at different privilege rings.
The document discusses the symbolism and meaning behind various elements found in movie studio logos. It suggests that mountains represent stability in the film industry, clouds indicate the company is successful and above others, and a woman on top steps represents high quality and ranking in the industry. Various logos and acquisitions are also briefly mentioned.
This document provides an overview of monetary policy and the role of the Federal Reserve. It begins with sample questions about inflation, recessions, banks, and monetary policy. It then compares the Great Depression and Great Recession in terms of declines in GDP, unemployment, and world trade. The remainder discusses the Federal Reserve System and its tools of monetary policy. It asks questions about setting reserve rates, the Fed's role as lender of last resort, and why the Fed Chairman is influential. Finally, it prompts writing letters regarding monetary policy stances and recommended fiscal policy changes.
The document discusses the Malaysian healthcare system and its efforts to achieve better health for Malaysians. It outlines the current challenges facing the system, including issues like long wait times, inadequate integration between public and private sectors, and rising healthcare costs. It then describes the existing public healthcare structure provided by the Ministry of Health and examines usage and expenditure trends. The document proposes transforming the nation's health system to address the issues through a new integrated 1Care model.
Health Status Of Uttar Pradesh and field visitAnita Gupta
The document provides information on the organization and management of health services in Uttar Pradesh at the state, district, and sub-district levels. It summarizes that at the state level, the Principal Secretary oversees health policy and budgets, while various Directors provide technical assistance. At the district level, the CMO manages programs, and the SMO oversees individual health centers. The document also outlines the responsibilities and norms of community health centers, primary health centers, and sub-centers in the state.
The document discusses the role of registered dietitians in primary health care. It begins by explaining that primary health care focuses on wellness promotion rather than just illness treatment. It also notes that nutrition is important for health but access to nutrition services is limited. The document then describes key elements of primary health care, including using a population health approach, comprehensive services, coordination of care, interdisciplinary teams, and cost-effectiveness. It outlines the practice of registered dietitians in primary health care, including their skills in health promotion, education, and working with communities. Examples are provided of how dietitians contribute to quality of life, health outcomes, and cost containment through various strategies and actions.
The document summarizes a panel discussion on electronic health records (EHR) adoption. It introduces the moderator and four panelists who will discuss their experiences with EHR implementation. It then outlines the agenda which includes an EHR implementation panel, overview of the national healthcare landscape and legislation influencing health IT, and a question and answer session. Key pieces of national healthcare legislation discussed are the HITECH Act, Meaningful Use, Beacon Communities, and the Affordable Care Act.
Dr azilina 1 care for ph conference 12july2011 11july 2011EyesWideOpen2008
Slide 18 shows the implementation process of 1Care. In phases 1 to 3 the name 1Care doesn't even appear but it is part of the process.
The MOH Deputy Director General, Datuk Dr Noor Hisham Abdullah has confirmed that 1Care is currently in phase 1 & 2 of implementation.
This is the MOH's 10th Malaysia Plan Implementation plan for health. We can see that the entire 1Care concept in the table on page 48 & 49.
"Streamline/realign healthcare
delivery system (keywords: PHC as thrust, gatekeeping, zoning, referral system, preventive/promotive, resource sharing, resource mobilization, appropriate technologies,registered population, registered providers)"
"Integrated public private health services delivery"
"Unified healthcare financing system"
If 1Care has not been accepted and not even the concept has been decided on, WHY IS IT BEING IMPLEMENTED AS PART OF THE 10th MALAYSIA PLAN?
Health policy is a national task based on meeting community needs and respecting social, geographical and cultural variations. Ministry of health and population (MOHP) is the formal organization responsible for health policy formulation. The Egyptian health care system faces multiple challenges in improving and ensuring the health and wellbeing of the Egyptian people. The system faces not only the burden of combating illnesses associated with poverty and lack of education, but it must also respond to emerging diseases and illnesses associated with modern, urban lifestyle. Emerging access to global communications and commerce is raising the expectations of the population for more and better care and for advanced health care technology.
The document summarizes the Malaysian health care system. It describes that the system is centralized with the Ministry of Health overseeing public health programs, medical services, dental services, pharmacy programs, and management. It provides statistics on life expectancy and leading causes of death. It outlines the organization of the Ministry of Health and flow of resources from the federal government to states. It also summarizes some of the key programs and activities under the 9th and 10th Malaysia Plans.
Essential Package of Health Services Country Snapshot: IndiaHFG Project
India's essential package of health services (EPHS) consists primarily of services outlined in the Indian Public Health Standards and services provided by accredited social health activists (ASHAs) at the community level. The package includes a wide range of primary healthcare services focused on reproductive, maternal, newborn, child, and communicable disease care. The government aims to deliver these services through public sector community health workers, primary care facilities, and referral facilities, though many Indians also access private providers. Efforts are made to improve equity of access for rural, poor, female, and adolescent populations through programs like ASHA. Some national insurance programs provide limited financial coverage for priority services in the EPHS.
Financing and delivery of health services ncmchbrandsynapse
This document provides background on financing and delivery of health care services in India. It contains four sections. Section I discusses the links between health, poverty, and economic growth in India. It includes two papers, one on the relationship between health, poverty, and development, and another on the links between nutrition, consumer expenditures, and poverty. Section II covers delivery of health care services, examining primary health care, public and private sector delivery, training, integration of Indian systems of medicine, people's participation, and the not-for-profit sector. Section III analyzes the key drivers of health care costs: human resources, nursing, drugs and medicines, and medical device technology. Section IV focuses on financing of health care, including national
Strengthening health systems for equitable eye careSandeep Buttan
This document discusses priorities for strengthening eye care in India within the broader context of health systems. It argues that eye care needs to move beyond a vertical, disease-specific approach and integrate within health systems to address wider determinants of health and maximize synergies. A systems approach is needed that focuses on governance, human resources, infrastructure, service delivery, community involvement and cross-cutting issues like equity and sustainability. International agencies should support this transition by advocating for policies, allocating resources, developing human capital, fostering partnerships and generating evidence on the benefits of systems-level interventions for eye and overall health.
The 2nd edition of Healthcare Sabha - The National Thought Leadership Forum on Public Healthcare will be held at Novotel, Visakhapatnam on 9th-12th February 2017.
The event is a platform bringing together Policy Makers, Thought Leaders, National & International Health Organisations, Social Entrepreneurs and Technology & Ancillary Healthcare Service Providers.
This document summarizes a report on mental health policy in Ireland. It begins with a quote about the butterfly representing the human soul and how suffering can purify and prepare one for happiness. It then lists the report's contents which include chapters on listening to service users and carers, social inclusion, mental health promotion, current services, primary care, service delivery frameworks, and specific services for things like child/adolescent care, rehabilitation, older adults, intellectual disabilities, and special categories. It concludes recommending the implementation of a person-centered mental health system.
The document outlines India's national health policy and health care delivery system at the national, state, and local levels. It discusses the goals of national health policy to provide the highest level of health for all. It also describes the organization and functions of health services at the central, state, and district/local levels, including primary health centers, community health centers, and hospitals. The document provides details on staffing and responsibilities at different levels of the health care system.
The document discusses the history and principles of primary health care (PHC) in India. Key points include that PHC began in India in 1946 and aims to provide universal and equitable access to basic health services. PHC is focused on health promotion, prevention, and treatment of common illnesses and injuries. It also emphasizes community participation and multisectoral coordination. The document outlines the services provided by PHC in India and challenges faced in implementing the PHC strategy.
The Ministry of Health & Family Welfare in Bangladesh oversees a complex healthcare system with numerous affiliated organizations at the national, divisional, district, upazila, union, and community levels. It collaborates with directorates, hospitals, and departments to manage public health programs, service delivery, research, and workforce development. While Bangladesh has made progress in improving health indicators, its healthcare system faces challenges of limited rural access, underfunding, shortages of specialists, and high out-of-pocket costs. The growing private sector provides additional capacity but also increases inequities in access.
Review of the Genesis of the Yellowknife Tuberculosis Outbreak 2007
Ewan Affleck
Medical Director YHSSA
Circumpolar Rounds
Stanton Territorial Hospital
Yellowknife, NT
January 7, 2010
http://ichr.ca
Presntation by Zorayda E. Leopando, MD, MPH
Professor of Family and Community Medicine University of the Philippines Manila at the WHO/TNO/Dutchgovernment Congres 'Connecting Health and Labour' 29 - 1 December 2012
Press Release of the Alternative Budget Initiative (ABI) Health Cluster during the Million People March @ Ayala last Sept 30, Metroclub, Rockwell, Makati City
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
How to Control Your Asthma Tips by gokuldas hospital.Gokuldas Hospital
Respiratory issues like asthma are the most sensitive issue that is affecting millions worldwide. It hampers the daily activities leaving the body tired and breathless.
The key to a good grip on asthma is proper knowledge and management strategies. Understanding the patient-specific symptoms and carving out an effective treatment likewise is the best way to keep asthma under control.
Travel Clinic Cardiff: Health Advice for International TravelersNX Healthcare
Travel Clinic Cardiff offers comprehensive travel health services, including vaccinations, travel advice, and preventive care for international travelers. Our expert team ensures you are well-prepared and protected for your journey, providing personalized consultations tailored to your destination. Conveniently located in Cardiff, we help you travel with confidence and peace of mind. Visit us: www.nxhealthcare.co.uk
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdfrightmanforbloodline
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdfRahul Sen
Time-lapse embryo monitoring is an advanced imaging technique used in IVF to continuously observe embryo development. It captures high-resolution images at regular intervals, allowing embryologists to select the most viable embryos for transfer based on detailed growth patterns. This technology enhances embryo selection, potentially increasing pregnancy success rates.
10 Benefits an EPCR Software should Bring to EMS Organizations Traumasoft LLC
The benefits of an ePCR solution should extend to the whole EMS organization, not just certain groups of people or certain departments. It should provide more than just a form for entering and a database for storing information. It should also include a workflow of how information is communicated, used and stored across the entire organization.
low birth weight presentation. Low birth weight (LBW) infant is defined as the one whose birth weight is less than 2500g irrespective of their gestational age. Premature birth and low birth weight(LBW) is still a serious problem in newborn. Causing high morbidity and mortality rate worldwide. The nursing care provide to low birth weight babies is crucial in promoting their overall health and development. Through careful assessment, diagnosis,, planning, and evaluation plays a vital role in ensuring these vulnerable infants receive the specialize care they need. In India every third of the infant weight less than 2500g.
Birth period, socioeconomical status, nutritional and intrauterine environment are the factors influencing low birth weight
The skin is the largest organ and its health plays a vital role among the other sense organs. The skin concerns like acne breakout, psoriasis, or anything similar along the lines, finding a qualified and experienced dermatologist becomes paramount.
1. MINISTRY OF HEALTH
BRUNEI DARUSSALAM
DEPARTMENT OF POLICY AND PLANNING
MINISTRY OF HEALTH
BRUNEI DARUSSALAM
2. CONTENTS
Preface 2
Vision and Health Strategy 3
Organisation Structure 4
Geography 5
Demography 6
Population Pyramid 7
Vital Statistics 8
Health Indicators 9
Health Facilities 13
Distribution Map of Health Care Facilities 14
Human Resource 15
Government Health Expenditure 16
Leading Causes of Death 17
Cardiovascular Diseases 19
Cancer 21
Diabetes Mellitus 23
Hospital Services 24
Hospital Outpatient Morbidity 25
Hospital Inpatient Morbidity 27
Health Services 29
General O/P Attendances For Health Centres 30
Health Centres Outpatient Morbidity 31
Dental Health Services 33
Renal Services 34
Notifiable Diseases 35
Nutritional Status 37
Road Traffic Accidents 38
Formulae and Definitions 39
Contact Address 40
Acknowledgement 41
3. PREFACE
Bismillahir Rahmanirrahim.
'Together Towards a Healthy Nation' is the new vision of the Ministry of Health, in line with
'Wawasan Brunei 2035' that emphasized in strengthening the health care system to ensure
efficient and high quality health services in Brunei Darussalam.
In an effort towards ensuring efficient health services, the Ministry of Health recognises the
importance of the ongoing development and publication of health statistical information to
support evidence-based decision making and planning. Amongst others, it also serves as a
means for monitoring improvement of the health status of the population in Brunei
Darussalam.
Health Information Booklet (HIB) 2008, the thirteenth edition, has expanded its content
with the inclusion of information on Health Centre Outpatient Morbidity. The Department
of Policy and Planning with the cooperation of the relevant department will continue to
focus on improving the quality of subsequent publications and thus enhancing value to
users.
I wish to acknowledge with gratitude the cooperation extended by the relevant
departments under the Prime Minister's Office, Ministry of Finance, Ministry of Home
Affairs, Ministry of Communication, and Ministry of Health in providing the information for
this publication.
HAJAH FATMAH BINTI PJDSMDSU (DR) HAJI MD JAMIL
Director of Policy and Planning
Ministry of Health
Negara Brunei Darussalam
2 HEALTH INFORMATION BOOKLET 2008
5. ORGANISATION STRUCTURE
MINISTER OF HEALTH
Pehin Orang Kaya Indera Pahlawan
Dato Seri Setia Awang Haji Suyoi bin Haji Osman
DEPUTY MINISTER OF HEALTH
Pehin Orang Kaya Pekerma Laila Diraja
Dato Paduka Awang Haji Hazair bin Haji Abdullah
PERMANENT SECRETARY
Dato Paduka Haji Abdul Salam bin Abd Momin
DEPUTY PERMANENT SECRETARY DEPUTY PERMANENT SECRETARY
(PROFESSIONAL AND TECHNICAL) (ADMINISTRATION AND FINANCE)
Datin Paduka Dr Hjh Intan bte Hj Mohd Salleh Awang Haji Rosli bin Haji Mustafa
GENERAL DIRECTOR
DIRECTOR-GENERAL OF HEALTH
DIRECTOR-GENERAL OF MEDICAL SERVICES
SERVICES
DIRECTOR OF HEALTH CARE DIRECTOR OF ADMINISTRATION
DIRECTOR OF POLICY AND PLANNING DIRECTOR OF ESTATE MANAGEMENT
TECHNOLOGY SERVICES AND FINANCE
HOSPITAL SERVICES COMMUNITY HEALTH SERVICES
BUILIDING ENGINEERING
RISK MANAGEMENT CENTRE PUBLIC RELATIONS HUMAN RESOURCE MANAGEMENT
AND VEHICLE SERVICES
NURSING SERVICES SCIENTIFIC SERVICES
HEALTH INFORMATICS INTERNATIONAL AFFAIRS HUMAN RESOURCE DEVELOPMENT PROJECT DEVELOPMENT
PHARMACEUTICAL SERVICES ENVIRONMENTAL HEALTH SERVICES
BIOMEDICAL ENGINEERING RESEARCH AND DEVELOPMENT
PROCUREMENT AND SUPPLY
AND MEDICAL PHYSICS * STATISTICS UNIT
CLINICAL LABORATORY SERVICES
QUALITY IMPROVEMENT FINANCE AND ACCOUNT
DENTAL SERVICES
LEGISLATION
RENAL SERVICES
4 HEALTH INFORMATION BOOKLET 2008
6. GEOGRAPHY
Brunei Darussalam is located in South-East Asia on the northwest coast of the island of Borneo facing
the South China Sea and lies about 443km north of the equator. With a land area of 5,765 square
kilometres, Brunei Darussalam is bounded on all sides by the Malaysian state of Sarawak which splits
Brunei into two parts; the western part consisting of Brunei-Muara, Tutong and Belait districts while the
eastern part is the Temburong district.
CAPITAL : BANDAR SERI BEGAWAN
DISTRICTS : 4
MUKIMS : 39
KAMPONGS / LOCALITY : 430
HOUSEHOLDS : 55,696 (2001 Census)
AV. NO. PERSONS PER HOUSEHOLD : 6.0
HEALTH INFORMATION BOOKLET 2008 5
7. DEMOGRAPHY
Brunei Darussalam conducts population census every 10 years. The latest census was done in 2001.
Estimated Population (2008) :
Total : 398.0 Thousands
Male : 211.0 Thousands
Female : 187.0 Thousands
Sex Ratio (M / 100F) : 113
Persons / sq.km : 69
Annual rate of increase : 2.1%
Age Structure :
0-4 : 8.8%
5 - 19 : 26.5%
20 - 54 : 57.1%
55 - 64 : 4.3%
65 & Over : 3.3%
Race :
Malay * : 66.6%
Chinese : 11.0%
Others : 22.4%
District :
Brunei-Muara : 69.5%
Belait : 16.6%
Tutong : 11.4%
Temburong : 2.5%
Note :
* - Including Other Indigenous Groups of the Malay race namely Belait, Bisaya, Brunei, Dusun, Kedayan, Murut or Tutong.
Source :
Department of Economic Planning & Development, Prime Minister's Office
6 HEALTH INFORMATION BOOKLET 2008
8. POPULATION PYRAMID (2008)
85+5 +
8
80-84
80-84
75-79
75-79
MALE FEMALE
70-74
70-74
65-69
65-69
60-64
60-64
55-59
55-59
50-54
50-54
45-49
45-49
40-44
40-44
35-39
35-39
30-34
30-34
25-29
25-29
20-24
20-24
15-19
15 - 19
10-14
10 - 14
5-9 - 9
5
0-4-
0 4
7 6 5 4 3 2 1 0 0 1 2 3 4 5 6 7
POPULATION TREND OF BRUNEI DARUSSALAM (1911 - 2008)
450,000
398,000
400,000
350,000 332,844
300,000
260,482
250,000
192,832
200,000
150,000 136,256
100,000 84,515
45,000
50,000 30,135
21,718 25,451
0
1911 1921 1931 1941 1951 1961 1971 1981 1991 2001 2008
Note: Data is not available for the year 1941
HEALTH INFORMATION BOOKLET 2008 7
9. VITAL STATISTICS
2004 2005 2006 2007 2008
Crude Birth Rate
: 19.9 18.7 17.0 16.2 16.1
(per 1,000 Popn.)
General Fertility Rate
: 71.6 68.1 62.4 59.6 55.8
(per 1,000 Women (15-49))
Total Fertility Rate
: 2.2 2.0 1.8 1.7 1.7
(per Women (15-49))
Crude Death Rate
: 2.8 2.9 2.9 3.0 2.7
(per 1,000 Popn.)
Infant Mortality Rate
: 8.8 7.4 6.6 7.6 7.0
(per 1,000 LBs.)
Late Fetal Death Ratio
: 6.0 6.1 4.6 6.3 6.4
(per 1,000 LBs.)
Perinatal Mortality Ratio
: 9.5 8.7 7.5 10.0 10.0
(per 1,000 LBs.)
Early Neonatal Mortality Rate
: 3.5 2.6 2.9 3.6 3.6
(per 1,000 LBs.)
Late Neonatal Mortality Rate
: 2.5 1.9 1.8 0.8 1.2
(per 1,000 LBs.)
Neonatal Mortality Rate
: 6.0 4.5 4.8 4.4 4.8
(per 1,000 LBs.)
Post Neonatal Mortality Rate
: 2.8 2.9 1.8 3.2 2.2
(per 1,000 LBs.)
Under 5 Mortality Rate
: 9.8 9.4 9.2 9.5 9.5
(per 1,000 LBs.)
Number of Maternal Deaths : 1 1 1 1 0
Maternal Mortality Ratio
: 14.0 14.4 15.3 15.8 0.0
(per 100,000 LBs.)
Life Expectancy At Birth - Male : 74.6 75.2 75.9 75.2 76.6
- Female : 77.5 77.8 77.5 77.8 79.8
Percentage of Newborns Weighing At Least
: N/A 90.6 89.0 88.5 88.9
2500g At Birth
Percentage of Deliveries by Trained Health
: 99.6 99.7 99.7 99.9 99.7
Personnel
Literacy Rate (%) (Age 9 yrs +) - Male : (#) 95.8 (#) 95.8 (#) 95.8 (#) 95.8 (#) 95.8
- Female : (#) 91.5 (#) 91.5 (#) 91.5 (#) 91.5 (#) 91.5
Per Capita GDP at current prices
: 37.0 42.9 47.6 47.3 51.3
(B$) Thousand
Note :
Popn. - Population
LBs - Live-births
(#) - Census in 2001
Red text - Millennium Development Goals (MDGs) Indicators
8 HEALTH INFORMATION BOOKLET 2008
10. HEALTH INDICATORS
As of 2009, the average birth rate for the whole world is 19.95 per year per 1000 total population. The
crude death rate for the whole world was recorded at 8.23 per 1000 per year.
CRUDE BIRTH RATE PER 1000 POPULATION (1938 - 2008)
60.0 56.8
55.2
50.0
43.6
40.0 37.8 37.4 37.0
33.2 32.4
29.9 30.7
30.0 27.7
25.9
23.9
21.7
17.0
20.0 16.2
16.1
10.0
0.0
2007
2008
1946
1958
1962
1970
1974
1982
1986
1994
1998
1938
1942
1950
1954
1966
1978
1990
2002
2006
Note: Data is not available for the years 1942, 1946 and 1950
CRUDE DEATH RATE PER 1000 POPULATION (1938 - 2008)
25.0
22.0
20.0
15.0
12.7
11.8
10.0
6.9
6.0
5.5
5.0 4.2 4.2 3.9
3.2 3.0 3.2 3.0 3.0 2.9 3.0 2.7
0.0
1946
1950
1958
1962
1974
1978
1986
1990
2002
2006
1938
1942
1954
1966
1970
1982
1994
1998
2008
2007
Note: Data is not available for the years 1942, 1946 and 1950
HEALTH INFORMATION BOOKLET 2008 9
11. HEALTH INDICATORS
Brunei Darussalam has achieved targets set by the Millennium Development Goal 4 (MDG) for child
health, which is to reduce by two thirds, between 1990 and 2015, the under-5 mortality rate. Brunei
Darussalam's figures for both under-5 mortality rate and infant mortality rate are comparable to that of
developed countries and way below the world average.
Improvements in infant mortality in Brunei Darussalam are a result of higher standards of living, improved
levels of education and literacy, increasing empowerment of women and rising standards of infant care
services. There is an extensive network of maternal and Child Health Clinics throughout the country which
has been inexistence for several decades. Maternal child health services in Brunei Darussalam have
contributed to the reduction in under-5 mortality. Brunei has a comprehensive child immunization
programme against vaccine preventable diseases. Coverage in the past decade has been virtually
universal.
INFANT MORTALITY RATE PER 1000 LIVEBIRTHS (1938 - 2008)
180.0
161.1
160.0
146.8
137.7
140.0
120.0
100.0 93.6
88.9
80.0
60.0 50.8
42.3
40.0 33.8
22.7 20.0
20.0 12.1 10.0 8.4 8.3 6.6 7.6
7.4 6.5 7.0
0.0
2007
1938
1946
1954
1958
1966
1974
1978
1986
1994
1998
2006
1942
1950
1962
1970
1982
1990
2002
2008
Note: Data is not available for the year 1942
UNDER-5 MORTALITY RATE PER 1000 LIVEBIRTHS (1976 - 2008)
35.0
30.0
30.0
25.0
22.7
20.0
16.0
15.0
11.7
10.3 9.8
9.2 9.0 9.5 9.5
10.0
5.0
0.0
1976 1980 1984 1988 1992 1996 2000 2004 2007 2008
10 HEALTH INFORMATION BOOKLET 2008
12. HEALTH INDICATORS
Maternal mortality in Brunei Darussalam is a difficult-to-reduce case in which the number of deaths
reported averages at around 1-2 deaths per year. This achievement can be attributed to the nation's
comprehensive and quality health service.
Brunei Darussalam has achieved the 5th goal of the MDG which is the reduction by three quarters the
Maternal Mortality Ratio. Reduction of Maternal maternity is also closely linked to access to reproductive
care with target indicators such as precentage of deliveries in hospitals and by skilled health personnel.
NUMBER OF MATERNAL DEATHS AND MATERNAL MORTALITY RATIO PER 100,000 LIVEBIRTHS (1960 -
2008)
600.0 40
MATERNAL MORTALITY RATIO PER 100,000
487.2 35
500.0
NUMBER OF MATERNAL DEATHS
30
400.0
25
LIVEBIRTHS
300.0 20
15
200.0
20 10
95.7 94.3
79.9 69.2
100.0 26.7
40.7 47.4
13.1 14.0 5
2
4 4 5 4 0.0 0.0 1 1 0.0
2 3
0.0 0
1960 1964 1968 1972 1976 1980 1984 1988 1992 1996 2000 2004 2008
Almost all births now take place in hospitals and are attended by qualified skilled health personnel. These
2 indicators are most relevant to Brunei Darussalam's context as it correlates closely with the notion of
safe delivery and availability of institutional support in the event of emergencies.
PERCENTAGE OF DELIVERIES AT HOSPITALS AND BY SKILLED HEALTH PERSONNEL 2008
99.7 99.7 99.9 99.7
99.6 99.6 99.6
100.0 99.4 99.4
99.0 99.0 99.0
99.0
97.8 98.0 98.0 98.0 98.0 98.0
98.0
97.0
PERCENTAGE
96.0
95.0 99.6 99.6 99.9 99.7
99.1 99.2 99.4 99.4 99.4 99.4
99.0 98.7
94.0 98.3
97.5
96.5 96.2
93.0 95.7 95.8
92.0
91.0
90.0
1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
% of deliveries in health facilities (as % of total deliveries) % of births attended by skilled health personnel
HEALTH INFORMATION BOOKLET 2008 11
14. HEALTH FACILITIES
MEDICAL CARE NUMBER
- HOSPITALS ( 4 GOVERNMENTS + 2 PRIVATES (1) ) 6
- MEDICAL CENTRES (Ministry of Defence) 9 (2)
- DIALYSIS CENTRES 5
- DENTAL CENTRES / CLINICS 14
HEALTH SERVICES
- HEALTH CENTRES 16
- HEALTH/MATERNAL AND CHILD HEALTH CLINICS 13
- TRAVELLING HEALTH CLINICS 9
- FLYING MEDICAL SERVICES 4
DENTAL SERVICES
- DENTAL SERVICES AT:
HOSPITALS 3
HEALTH CENTRES 8
HEALTH/MATERNAL AND CHILD HEALTH CLINICS 10
SCHOOLS 70
MOBILE SQUAD 17
TRAVELLING (FLYING TEAM) 4
Note :
(1) - Jerudong Park Medical Centre and Gleneagles Park Centre
(2) - Including Air Forces Medical Clinic
HEALTH INFORMATION BOOKLET 2008 13
15. The following two directorates under the Ministry of Health are responsible for delivery of health
- Community
DISTRIBUTION MAP OF HEALTH CARE FACILITIES
Muara HC
Berakas 'B' HC
Gadong HC Berakas 'A' HC
JERUDONG PARK MEDICAL CENTRE
Bandar Seri Begawan HC
GLENEAGLES JPMC
Jubli Perak HC RIPAS HOSPITAL
Tutong HC
PENGIRAN MUDA MAHKOTA PENGIRAN MUDA
HAJI AL-MUHTADEE BILLAH HOSPITAL
Sg Kelugos HC PAPHRSB HC
Sg Liang HC Telisai HC
Jubli Emas HC
PIHM HOSPITAL
Lamunin HC
SURI SERI BEGAWAN HOSPITAL
Seria HC
Panaga HC
Kuala Belait HC
Legends
Hospital
Health Centre
14 HEALTH INFORMATION BOOKLET 2008
16. HUMAN RESOURCE
Human Resources for Health for 2008 Government Private Total
Local 61 6 67
Male 331
Foreign 232 32 264
Doctors (1) Local 94 3 97
Female 233
Foreign 119 17 136
TOTAL 506 58 564
Population per Doctor 706
Local 10 4 14
Male 44
Foreign 20 10 30
Dentists (1) Local 30 1 31
Female 38
Foreign 6 1 7
TOTAL 66 16 82
Population per Dentist 4854
Local 4 1 5
Male 6
Foreign 1 0 1
Pharmacists (2) Local 26 5 31
Female 39
Foreign 1 7 8
TOTAL 32 13 45
Population per Pharmacist 8844
Nurses (3)
1859 82 1941
(Including Dental Nurses and Midwives)
Population per Nurse 205
Sources:
(1) - Brunei Medical Board
(2) - Pharmacy Department 370,100 383,000
(3) - Nursing Board
10,000
9,000
8,000
7,000
POPULATION RATIO
6,000
5,000
4,000
3,000
2,000
1,000
0
2004 2005 2006 2007 2008
Population per Dentist Population per Pharmacist Population per Nurse
HEALTH INFORMATION BOOKLET 2008 15
17. GOVERNMENT HEALTH EXPENDITURE
2006/07 2007/08 2008/09
Total Health Budget (B$ Millions) 244.33 259.72 264.44
Health Budget as % of National Budget 6.73 6.96 7.08
Per Capita Health Budget ( B$ ) # 638 666 664
Health Budget as % of GDP # 1.34 1.41 1.30
Total Health Expenditure (B$ Millions) 275.45 294.82 310.90
Health Expenditure as % of Government Expenditure 7.35 7.38 …
Per Capita Health Expenditure (B$) # 719 756 781
Health Expenditure as % of GDP # 1.51 1.60 1.52
Note:
GDP - Gross Domestic Product
… - Not available
Source:
# - DEPD, Brunei Darussalam Key Indicator's 2008
(Budget) - Budget Section, Ministry of Finance
(Expenditure) - Ledger Section, Treasury Department
320 Year BUDGET EXPENDITURE
310 2003 225.46 290.15
300 2004 233.32 262.93
290 2005 240.86 275.39
280 2006 244.33 275.45
2007 259.72 294.82
270
B$Million
2008 264.44 310.90
260
250
240
230
220
BUDGET EXPENDITURE
210
200
2003 2004 2005 2006 2007 2008
YEAR
16 HEALTH INFORMATION BOOKLET 2008
18. TEN LEADING CAUSES OF DEATHS FOR THE YEAR 2008
(Based on ICD-10)
RATE PER
No. ICD-10 TYPE OF DISEASE MALE FEMALE TOTAL % 100,000
POPN.
I00 - I09, Heart Diseases (Including Acute
1 124 87 211 19.3 53.0
I20 - I52 Rheumatic Fever)
2 C00 - C97 Cancer (Malignant Neoplasms) 104 97 201 18.4 50.5
3 E10 - E14 Diabetes Mellitus 53 44 97 8.9 24.4
4 I60 - I69 Cerebrovascular Diseases 54 39 93 8.5 23.4
5 J10 - J18 Influenza and Pneumonia 39 14 53 4.9 13.3
Bronchitis, Chronic & Unspecified
6 J40 - J46 23 16 39 3.6 9.8
Emphysema & Asthma
7 V01 - V99 Transport Accidents 23 10 33 3.0 8.3
8 A40 - A41 Septicaemia 17 15 32 2.9 8.0
9 I10 - I15 Hypertensive Diseases 12 12 24 2.2 6.0
Certain Conditions Originating In The
10 P00 - P96 8 12 20 1.8 5.0
Perinatal Period
Others 179 109 288 26.4 72.4
ALL DEATHS 636 455 1091 100.0 274.1
398000
HEALTH INFORMATION BOOKLET 2008 17
19. TEN LEADING CAUSES OF DEATHS
(2004 - 2008)
No. 2004 2005 2006 2007 2008
Cancer (Malignant Cancer (Malignant Cancer (Malignant Cancer (Malignant Heart Diseases (Including
1
Neoplasms) Neoplasms) Neoplasms) Neoplasms) Acute Rheumatic Fever)
21.6% 20.1% 20.1% 18.3% 19.3%
Heart Diseases (Including Heart Diseases (Including Heart Diseases (Including Heart Diseases (Including Cancer (Malignant
2
Acute Rheumatic Fever) Acute Rheumatic Fever) Acute Rheumatic Fever) Acute Rheumatic Fever) Neoplasms)
18.3% 16.4% 17.0% 15.1% 18.4%
3 Diabetes Mellitus Diabetes Mellitus Diabetes Mellitus Diabetes Mellitus Diabetes Mellitus
7.7% 11.0% 10.6% 11.9% 8.9%
4 Cerebrovascular Diseases Cerebrovascular Diseases Cerebrovascular Diseases Cerebrovascular Diseases Cerebrovascular Diseases
7.0% 6.6% 9.3% 7.4% 8.5%
Bronchitis, Chronic and
5 Unspecified Emphysema Hypertensive Diseases Hypertensive Diseases Hypertensive Diseases Influenza and Pneumonia
& Asthma
4.8% 5.0% 4.7% 4.9% 4.9%
Bronchitis, Chronic and Bronchitis, Chronic and
6 Hypertensive Diseases Influenza and Pneumonia Unspecified Emphysema Transport Accidents Unspecified Emphysema
& Asthma & Asthma
4.2% 4.6% 4.4% 4.7% 3.6%
Certain Conditions Bronchitis, Chronic and Bronchitis, Chronic and
7 Originating In The Unspecified Emphysema Transport Accidents Unspecified Emphysema Transport Accidents
Perinatal Period & Asthma & Asthma
3.8% 4.3% 3.6% 4.3% 3.0%
8 Transport Accidents Transport Accidents Influenza and Pneumonia Influenza and Pneumonia Septicaemia
3.8% 4.2% 3.4% 3.0% 2.9%
Certain Conditions Certain Conditions
9 Influenza and Pneumonia Originating In The Originating In The Septicaemia Hypertensive Diseases
Perinatal Period Perinatal Period
2.2% 2.4% 1.9% 2.1% 2.2%
Congenital Malformations, Congenital Malformations, Congenital Malformations, Congenital Malformations,
Certain Conditions
Deformations and Deformations and Deformations and Deformations and
10 Originating In The
Chromosomal Chromosomal Chromosomal Chromosomal
Perinatal Period
Abnormalities Abnormalities Abnormalities Abnormalities
1.7% 2.3% 1.6% 2.0% 1.8%
Grand
1,009 1,072 1,095 1,174 1,091
Total
18 HEALTH INFORMATION BOOKLET 2008
20. MORTALITY DUE TO CARDIOVASCULAR DISEASES BASED ON ICD-10 FOR THE YEAR 2008
AGE-GROUP IN YEARS
ICD-10 CODE TYPE OF DISEASES <35 35 - 44 45 - 54 55 - 64 65 - 74 75+ TOTAL
M F M F M F M F M F M F M F T
1 I00 - I09, I20 - I52 Heart Diseases 14 2 15 2 28 11 14 13 19 16 34 43 124 87 211
Acute Rheumatic Fever & Chronic
i I00 - I09 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Rheumatic Heart Diseases
ii I20 - I25 Ischaemic Heart Diseases 3 0 12 1 24 7 11 8 15 11 21 22 86 49 135
I21 Acute Myocardial Infarction 2 0 11 1 11 3 6 4 6 6 10 12 46 26 72
I20, I22 - I25 Other Ischaemic Diseases 1 0 1 0 13 4 5 4 9 5 11 10 40 23 63
Diseases of Pulmonary Circulation & Other
iii I26 - I52 11 2 3 1 4 4 3 5 4 5 13 21 38 38 76
Forms of Heart Diseases
2 I10 - I15 Hypertensive Diseases 0 0 0 0 1 1 1 1 3 6 7 4 12 12 24
3 I60 - I69 Cerebrovascular Diseases 5 2 6 3 8 5 4 4 13 14 18 11 54 39 93
4 I70 - I98 Other Diseases of the Circulatory System 0 0 1 0 1 1 4 0 0 0 1 0 7 1 8
I70 Atherosclerosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I71 - I98 Others 0 0 1 0 1 1 4 0 0 0 1 0 7 1 8
1 to 4 I00 - I98 All Cardiovascular Diseases 19 4 22 5 38 18 23 18 35 36 60 58 197 139 336
All Causes of Mortality 99 60 55 28 90 52 74 62 110 98 208 155 636 455 1091
HEALTH INFORMATION BOOKLET 2008 19
21. MORTALITY TREND DUE TO CARDIOVASCULAR DISEASES (2001 - 2008)
360
352
350
341
340 336
334 333
330
320
310
310
304
300 295
290
280
270
260
2001 2002 2003 2004 2005 2006 2007 2008
MORTALITY DUE TO CARDIOVASCULAR DISEASES BY TYPE OF DISEASES
250
200
150
100
50
0
2001 2002 2003 2004 2005 2006 2007 2008
Heart Diseases Hypertensive Diseases
Cerebrovascular Diseases Other Diseases Of The Circulatory System
Acute Myocardial Infarction
20 HEALTH INFORMATION BOOKLET 2008
22. MORTALITY DUE TO CANCER FOR THE YEAR 2008
TYPE OF CANCER MALE FEMALE TOTAL
Trachea, Bronchus and Lung 31 19 50
Liver and Intrahepatic Bile Ducts 7 7 14
Cervix Uteri 13 13
Stomach 9 3 12
Rectum and Anus 8 3 11
Colon 4 7 11
Breast 1 7 8
Leukaemia 4 3 7
Pancreas 5 1 6
Meninges, Brains and Other Parts of CNS 4 2 6
Multiple Myeloma and Malignant Plasma Cell Neoplasms 3 2 5
Lip, Oral Cavity and Pharynx 2 3 5
Ovary 5 5
Non-Hodgkin's Lymphoma 4 0 4
Prostate 4 4
Larynx 3 0 3
Skin 2 0 2
Bladder 1 1 2
Oesophagus 0 2 2
Remainder 12 19 31
TOTAL 104 97 201
YEAR 2004 2005 2006 2007 2008
TOTAL NO. OF CANCER DEATHS 218 215 220 215 201
MALE 110 118 108 117 104
FEMALE 108 97 112 98 97
NUMBER OF CANCER DEATHS BY GENDER (2004-2008)
140
118 112 117
120 110 108
108
97 104 97
98
NUMBER OF DEATHS
100
80
60
40
20
0
2004 2005 2006 2007 2008
HEALTH INFORMATION BOOKLET 2008 21
23. TREND IN LEADING CANCER DEATHS IN BRUNEI DARUSSALAM
(2004 - 2008)
No. 2004 2005 2006 2007 2008
Trachea, Bronchus and Trachea, Bronchus and Trachea, Bronchus and Trachea, Bronchus and Trachea, Bronchus and
1
Lung Lung Lung Lung Lung
16.5% 23.7% 17.7% 23.3% 24.9%
Liver and Intrahepatic Bile
2 Stomach Colon Breast Rectum and Anus
Duct
9.6% 9.3% 9.1% 9.8% 7.0%
Liver and Intrahepatic Bile Lip, Oral Cavity and
3 Breast Stomach Cervix Uteri
Duct Pharynx
8.7% 7.9% 7.3% 9.3% 6.5%
Lip, Oral Cavity and Liver and Intrahepatic Bile
4 Rectum and Anus Rectum and Anus Stomach
Pharynx Duct
7.8% 5.6% 7.3% 7.4% 6.0%
5 Breast Stomach Colon Breast Colon
6.4% 5.1% 5.9% 6.0% 5.5%
Liver and Intrahepatic Bile Liver and Intrahepatic Bile
6 Non-Hodgkin's Lymphoma Cervix Uteri Rectum and Anus
Duct Duct
5.5% 5.1% 5.5% 4.7% 5.5%
Lip, Oral Cavity and
7 Rectum and Anus Stomach Colon Breast
Pharynx
5.0% 5.1% 5.0% 3.7% 4.0%
Meninges, Brains and
8 Non-Hodgkin's Lymphoma Ovary Pancreas Leukaemia
Other Parts of CNS
4.6% 5.1% 4.5% 3.7% 3.5%
Meninges, Brains and
9 Cervix Uteri Ovary Pancreas Pancreas
Other Parts of CNS
4.1% 4.7% 4.1% 3.7% 3.0%
Meninges, Brains and Lip, Oral Cavity and Meninges, Brains and
10 Prostate Cervix Uteri
Other Parts of CNS Pharynx Other Parts of CNS
3.2% 4.7% 4.1% 3.3% 3.0%
Grand
218 215 220 215 201
Total
22 HEALTH INFORMATION BOOKLET 2008
24. MORBIDITY AND MORTALITY DUE TO DIABETES MELLITUS FOR THE YEAR 2008
AGE-GROUP IN YEARS
0-14 15-44 45-64 65+ TOTAL
M F M F M F M F M F TOTAL
OUTPATIENT
3 5 130 230 330 450 156 186 619 871 1,490
MORBIDITY *
INPATIENT
4 11 93 97 127 206 108 145 332 459 791
MORBIDITY *
MORTALITY 1 0 4 2 17 8 31 34 53 44 97
Note:
* - Hospital Morbidity only
2003 2004 2005 2006 2007 2008
Outpatient Morbidity
440 440 665 1148 1620 1490
Inpatient Morbidity
621 606 967 1038 988 791
MORBIDITY AND MORTALITY DUE TO DIABETES MELLITUS (2004 - 2008)
Mortality 82 78 118 116 140 97
1800
1,620
1600 1,490
1400
Outpatient
1,148 Morbidity
1200 1,038
988
967 Inpatient
1000 Morbidity
791
800 Mortality
665
606
600 440
400
118 140
116 97
200 78
0
2004 2005 2006 2007 2008
HEALTH INFORMATION BOOKLET 2008 23
25. HOSPITAL SERVICES
The Department of Medical Services is responsible for the delivery of hospital services in all four districts.
ACTIVITIES FOR THE YEAR 2008 RIPAS SSB PMMPMHAMB PIHM TOTAL
OUTPATIENT ACTIVITIES
General Outpatient and A & E Attendances 112,395 * 32,268 * 28,186 * 23,955 196,804
Specialist Outpatient Attendances 320,620 97,735 52,078 9,719 480,152
INPATIENT ACTIVITIES
Available Beds 555 210 129 25 919
Admissions 30,329 6,747 4,048 1,198 42,322
Discharges & Deaths 30,309 6,374 3,682 986 41,351
Patient Days 146,942 30,505 16,376 3,090 196,913
Day Patients 60,616 5,304 N/A 227 66,147
PERFORMANCE INDICES
Average Number of Inpatients / Day 401 83 45 8 538
% Occupancy 72 40 35 34 59
Average Duration of Stay (Days) 4.8 4.8 4.4 3.1 4.8
Average Turnover of Patients / Bed 55 30 29 39 45
Average Outpatient Attendances / Day N/A N/A N/A 55 55
Note:
* - A & E only
N/A - Not Applicable
GENERAL OUTPATIENT AND A&E ATTENDANCES FOR DISTRICT HOSPITALS (2004 - 2008)
120,000
100,000
NO. OF ATTENDANCES
80,000
60,000
40,000
20,000
0
2004 2005 2006 2007 2008
RIPAS SSB PMMPMHAMB PIHM
24 HEALTH INFORMATION BOOKLET 2008
26. HOSPITAL OUTPATIENT MORBIDITY
FOR THE YEAR 2008 ( A & E + G O P D )
No. ICD-10 DISEASES MALE FEMALE TOTAL %
1 J00-J06 Acute Upper Respiratory Infection 31,690 30,857 62,547 30.1
Bronchitis, Chronic & Unspecified Emphysema &
2 J40-J46 5,350 4,372 9,722 4.7
Asthma
3 A09 Gastroenteritis/ Diarrhoea 4,415 4,040 8,455 4.1
4 L00-L99 Diseases of Skin & Subcutaneous Tissue 3,521 3,580 7,101 3.4
5 W00-W19 Falls 3,206 2,312 5,518 2.7
6 R10 Abdominal and Pelvic Pain 2,123 2,965 5,088 2.4
7 I10-I15 Hypertensive Diseases 1,884 2,425 4,309 2.1
8 H10 Conjunctivitis 1,792 1,459 3,251 1.6
9 V01-V99 Transport Accident 1,257 715 1,972 0.9
10 J10-J11 Influenza 831 745 1,576 0.8
11 E10-E14 Diabetes Mellitus 619 871 1,490 0.7
12 B01 Chickenpox 694 656 1,350 0.6
13 T78.4 Allergy, Unspecified 609 642 1,251 0.6
14 K00-K08 Diseases of Teeth & Supporting Structures 632 463 1,095 0.5
15 M10 Gout 969 96 1,065 0.5
Others 48,547 43,590 92,137 44.3
GRAND TOTAL 108,139 99,788 207,927 100.0
55.6878135
Note:
A & E - Accident & Emergency
GOPD - General Outpatient Department
HEALTH INFORMATION BOOKLET 2008 25
27. SINGLE LEADING CAUSES OF HOSPITAL OUTPATIENT MORBIDITY
(2004 - 2008)
No. 2004 2005 2006 2007 2008
Acute Upper Respiratory Acute Upper Respiratory Acute Upper Respiratory Acute Upper Respiratory Acute Upper Respiratory
1
Infections Infections Infections Infections Infections
29.9% 29.9% 31.2% 30.7% 30.1%
Bronchitis, Chronic & Bronchitis, Chronic & Bronchitis, Chronic & Bronchitis, Chronic &
Gastroenteritis and
2 Unspecified Emphysema Unspecified Emphysema Unspecified Emphysema Unspecified Emphysema
Diarrhoea
& Asthma & Asthma & Asthma & Asthma
5.1% 5.1% 5.1% 5.0% 4.7%
Bronchitis, Chronic &
Gastroenteritis and Gastroenteritis and Gastroenteritis and Gastroenteritis and
3 Unspecified Emphysema
Diarrhoea Diarrhoea Diarrhoea Diarrhoea
& Asthma
4.6% 4.2% 4.4% 4.8% 4.1%
Diseases of Skin & Diseases of Skin & Diseases of Skin & Diseases of Skin & Diseases of Skin &
4
Subcutaneous Tissue Subcutaneous Tissue Subcutaneous Tissue Subcutaneous Tissue Subcutaneous Tissue
3.3% 3.2% 3.5% 3.4% 3.4%
5 Abnominal and Pelvic Pain Abnominal and Pelvic Pain Abnominal and Pelvic Pain Abnominal and Pelvic Pain Falls
2.9% 3.0% 2.9% 2.8% 2.7%
6 Falls Falls Conjunctivitis Falls Abnominal and Pelvic Pain
2.6% 2.4% 2.4% 2.3% 2.4%
7 Conjunctivitis Conjunctivitis Falls Hypertensive Diseases Hypertensive Diseases
1.3% 1.8% 2.1% 2.0% 2.1%
8 Transport Accidents Hypertensive Diseases Hypertensive Diseases Conjunctivitis Conjunctivitis
1.2% 1.2% 1.7% 1.8% 1.6%
9 Hypertensive Diseases Transport Accidents Transport Accidents Influenza Transport Accidents
1.0% 1.1% 0.9% 1.0% 0.9%
10 Chicken Pox Chicken Pox Influenza Transport Accidents Influenza
0.8% 0.7% 0.8% 0.9% 0.8%
Grand
140,357 154,974 181,604 201,062 125,596
Total
26 HEALTH INFORMATION BOOKLET 2008
28. HOSPITAL INPATIENT MORBIDITY
FOR THE YEAR 2008
NO ICD-10 TYPE OF DISEASES MALE FEMALE TOTAL %
1 J10-J22 Acute Lower Respiratory Infections 704 497 1,201 3.2
2 O00-O08 Pregnancy with Abortive Outcome 1,067 1,067 2.8
3 J45-J46 Asthma 568 487 1,055 2.8
Diarrhoea and Gastroenteritis of Presumed
4 A09 582 444 1,026 2.7
Infections Origin
5 J00-J06 Acute Upper Respiratory Infections 568 448 1,016 2.7
Non-Inflammatory Disorders of Female Genital
6 N80-N98 984 984 2.6
Tract
7 E10-E14 Diabetes Mellitus 332 459 791 2.1
8 I10-I15 Hypertensive Diseases 382 363 745 2.0
9 R50 Fever of Unknown Origin 410 327 737 2.0
Maternal Diseases Classifiable but Complicating
10 O98-O99 Pregnancy, Childbirth and The Puerperium 660 660 1.8
(Indirect Obstetric Causes)
11 I00-I09, I20-I52 Heart Diseases 294 252 546 1.5
S02, S12, S22, S32,
S42, S52, S72, S82,
12 Fractures Of Specified and Multiple Body Regions 355 159 514 1.4
S92, T02, T08, T10,
T12
13 R10 Abdominal and Pelvic Pain 203 305 508 1.4
14 H25-H26 Cataract 252 239 491 1.3
15 W00-W19 Falls 280 159 439 1.2
Others 8,863 16,759 25,622 68.3
GRAND TOTAL 13,388 24,150 37,538 100.0
HEALTH INFORMATION BOOKLET 2008 27
29. SINGLE LEADING CAUSES OF HOSPITAL INPATIENT MORBIDITY
(2004 - 2008)
No. 2004 2005 2006 2007 2008
Pregnancy with Abortive Acute Lower Respiratory Acute Lower Respiratory
1 Asthma Asthma
Outcome Infections Infections
2.9% 2.7% 2.8% 3.2% 3.2%
Diarrhoea and
Pregnancy with Abortive
2 Asthma Diabetes Mellitus Diabetes Mellitus Gastroenteritis of
Outcome
Presumed Infections
2.3% 2.7% 2.8% 3.0% 2.8%
Diarrhoea and
Acute Lower Respiratory Acute Lower Respiratory
3 Gastroenteritis of Asthma Asthma
Infections Infections
Presumed Infections
2.2% 2.5% 2.6% 3.0% 2.8%
Diarrhoea and
Acute Lower Respiratory Pregnancy with Abortive Pregnancy with Abortive Acute Upper Respiratory
4 Gastroenteritis of
Infections Outcome Outcome Infections
Presumed Infections
2.1% 2.5% 2.6% 2.8% 2.7%
Non-Inflammatory Diarrhoea and
Acute Upper Respiratory Acute Upper Respiratory
5 Disorders of Female Gastroenteritis of Diabetes Mellitus
Infections Infections
Genital Tract Presumed Infections
2.1% 2.5% 2.4% 2.6% 2.7%
Diarrhoea and Non-Inflammatory
Pregnancy with Abortive
6 Hypertensive Diseases Hypertensive Diseases Gastroenteritis of Disorders of Female
Outcome
Presumed Infections Genital Tract
2.0% 2.3% 2.4% 2.5% 2.6%
Non-Inflammatory Non-Inflammatory
Acute Upper Respiratory Acute Upper Respiratory
7 Disorders of Female Disorders of Female Diabetes Mellitus
Infections Infections
Genital Tract Genital Tract
2.0% 2.2% 2.4% 2.5% 2.1%
8 Heart Diseases Heart Diseases Hypertensive Diseases Hypertensive Diseases Hypertensive Diseases
2.0% 1.8% 2.2% 2.0% 1.9%
Maternal Diseases
Classifiable but
Fractures of Specified and Complicating Pregnancy,
9 Diabetes Mellitus Fever of Unknown Origin Fever of Unknown Origin
Multiple Body Regions Childbirth and The
Puerperium (Indirect
Obstetric Causes)
1.8% 1.6% 1.7% 1.8% 1.9%
Maternal Diseases Maternal Diseases
Classifiable but Classifiable but
Complicating Pregnancy, Complicating Pregnancy,
10 Cataract Heart Diseases Heart Diseases
Childbirth and The Childbirth and The
Puerperium (Indirect Puerperium (Indirect
Obstetric Causes) Obstetric Causes)
1.7% 1.6% 1.5% 1.7% 1.8%
Grand
34,615 35,247 36,883 37,822 37,538
Total
28 HEALTH INFORMATION BOOKLET 2008
30. HEALTH SERVICES
The Department of Health Services, Ministry of Health is responsible for providing public health services in the
country. The mission of the department is to promote well-being and prevent ill health, whereby various
activities and programmes have been developed and established under three main services: Community Health
Service, Environmental Health Services and Scientific Services.
WORKLOAD INDICATORS 2006 2007 2008
1. Ante Natal attendances 47,082 42,279 46,419
2. Post Natal attendances 8,936 8,595 8,396
3. Child ( <5 ) attendances 129,227 116,301 122,229
4. General O/P attendances in Health Centres / Clinics * 374,605 511,363 540,559
5. No. of students medically examined (Primary I, IV & Form II) 22,076 22,196 21,984
6. No. of students screened (Primary I, III, IV, VI & Form II) 36,561 37,757 37,174
Note :
*- including extended hours services
IMMUNISATION COVERAGE 2006 2007 2008
% of infants immunised against
- Tuberculosis (at birth) 99.9 95.6 99.7
- Diphtheria/Tetanus/Whooping Cough (Tetract-HIB)3 100.0 99.0 97.6
- Poliomyelitis (OPV)3 100.0 95.2 100.0
- Hepatitis B3 100.0 100.0 96.1
- Measles, Mumps and Rubella 1 (MMR1) 100.0 96.8 99.7
% of pregnant women immunised against Primigravida
- Tetanus (TT2) 79.0 64.0 75.0
Note:
Red text - Millennium Development Goals (MDGs) Indicators
Source:
Maternal and Child Health (MCH) Clinic Data
HEALTH INFORMATION BOOKLET 2008 29